| Pediatric Dental Group Of Hattiesburg | |
|
6643 U S Highway 98 Hattiesburg MS 39402-8442 | |
| (601) 450-6060 | |
| (601) 450-6062 |
| Full Name | Pediatric Dental Group Of Hattiesburg |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6643 U S Highway 98, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Tina Myers (OFFICE MANAGER) |
| Authorized Official Contact | 6014506060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Group Of Hattiesburg 6643 U S Highway 98 Hattiesburg MS 39402-8442 Ph: (601) 450-6060 | Pediatric Dental Group Of Hattiesburg 6643 U S Highway 98 Hattiesburg MS 39402-8442 Ph: (601) 450-6060 |
| NPI Number | 1316216716 |
|---|---|
| Provider Enumeration Date | 12/14/2011 |
| Last Update Date | 01/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316216716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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